Use this URL to cite or link to this record in EThOS: http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.557619
Title: The effect of regional anaesthesia on patient centred outcomes
Author: Hogg, Rosemary Margaret Gilmore
Awarding Body: Queen's University Belfast
Current Institution: Queen's University Belfast
Date of Award: 2012
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Abstract:
Regional anaesthesia, and in particular peripheral nerve blockade, is now an integral part of modern anaesthetic practice. The potential benefits from the use of nerve blockade, both in the perioperative period and its potential to influence postoperative outcome measures is of increasing interest to both clinicians and health care providers alike. This thesis assesses the effect of peripheral nerve blockade in patients undergoing either operative repair of fractured neck of femur or total abdominal hysterectomy. In patients with fractured neck of femur, it has been demonstrated that fascia iliaca compartment blockade using lignocaine has a significant effect on the reduction pain scores for patients during positioning for spinal anaesthesia when compared to a: traditional sedation regimen. The use of fascia iliaca compartment blockade appears to provide good postoperative analgesia after fractured neck of femur, although a difference between the use of 0.25% levobupivacaine and 1% lignocaine was not shown. The use of an indwelling catheter to allow bolus top-up analgesia did not show any significant benefits in this population. The comparison of ultrasound guided fascia iliaca compartment blockade and femoral nerve blockade at two different doses demonstrated that at a lowered 4 I dosage, fascia iliaca compartment blockade did not provide as good analgesia for positioning for spinal anaesthesia as the other groups. The four groups were however, comparable for provision of postoperative analgesia .. The use of transversus abdominis plane blockade for postoperative analgesia after total abdominal hysterectomy demonstrated no significant difference in pain scores when compared to a conventional analgesia regimen and there was no difference in the incidence of chronic postsurgical pain between the two groups. Patient satisfaction with the use of regional anaesthesia was high in both groups of patients with a low incidence of side effects throughout the studies. 5 -.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.557619  DOI: Not available
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